Sample Limited Power of Attorney

IN THE CIRCUIT COURT FOR PRINCE GEORGE’S, MARYLAND

Ari Gold – Plaintiff
v
Dr. Vincent Chase- Defendant

CASE NO.: 24-C-05-026677 OT

Limited Power of Attorney

The undersigned, Ari Gold, hereby appoint RONALD V. MILLER, JR., of Miller & Zois, LLC, as my true lawful attorney to endorse a settlement check from USAA in the amount of $496,000.00 arising out of an automobile accident on July 15, 2013. We further direct our attorney to disburse the settlement as follows:

powerofattorney

TOTAL SETTLEMENT: $496,000

Deductions:

Attorneys’ Fees $165,167
Attorneys’ Expenses (see attached): $1,488.33

Outstanding Medical Bills: $0
Blue Cross Lien: $85,301
Total Deductions: $251,956.33

DISBURSEMENT TO MR. GOLD: $244,043

___________________
Date | Ari Gold

STATE OF MARYLAND :
COUNTY OF HOWARD :

I HEREBY CERTIFY that on this day of __________, 2007, personally appeared Ari Gold, and made oath in due form of law that the matters and facts set forth in the aforegoing Limited Power of Attorney are true and correct to the best of her knowledge, information and belief.

Notary Public
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They quite literally worked as hard as if not harder than the doctors to save our lives. Terry Waldron
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Ron helped me find a clear path that ended with my foot healing and a settlement that was much more than I hope for. Aaron Johnson
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Hopefully I won't need it again but if I do, I have definitely found my lawyer for life and I would definitely recommend this office to anyone! Bridget Stevens
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The entire team from the intake Samantha to the lawyer himself (Ron Miller) has been really approachable. Suzette Allen
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The case settled and I got a lot more money than I expected. Ron even fought to reduce how much I owed in medical bills so I could get an even larger settlement. Nchedo Idahosa
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